EMILY DYKSTRA MA CCC-SLP INC. NPI 1477813129

NPI Information

  • NPI: 1477813129
  • Provider Name: EMILY DYKSTRA MA, CCC-SLP INC.
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Organization
  • Address: 1146 WOODLAND TERRACE TRL
    ALTAMONTE SPRINGS, FL
    ZIP 32714
  • Phone: (407) 928-5378

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NPI Details

EMILY DYKSTRA MA, CCC-SLP INC. is a speech language pathologist in Altamonte Springs, FL. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. EMILY DYKSTRA MA, CCC-SLP INC. NPI is 1477813129. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1146 WOODLAND TERRACE TRL
ALTAMONTE SPRINGS, FL
ZIP 32714-805
Phone: (407) 928-5378
Fax: (407) 522-8293

The provider's authorized official is Emily Ellen Dykstra .
The authorized official title is Speech Language Pathologist and has the following contact phone number (407) 928-5378.

The enumeration date for this NPI number is 5/29/2012 and was last updated on 5/29/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language PathologistSA7153FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1890146500MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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